DSC-2
www.mida.gov.my
(03.07.2012)
APPLICATION FOR PIONEER STATUS
FOR EXPANSION AND/OR UPGRADING OF
DESIGN SERVICES COMPANIES
A.
PARTICULARS OF COMPANY
1.
Name of company: ………………………………………………………
2.
Address of company: ……………………………………………………
………………………………………………………………………………………..
Telephone No. : … …………………………..
3.
Fax No.: ……………………….
Name of contact person : ………………………………………………………..…
Designation :… … ………………………………………………………………..…
Telephone No. : ………………………..
Fax No. : … …………………..…
4.
Date of incorporation of company/registration of business :……………………
(Attach a copy of the Certificate of Incorporation/Registration)
5.
Company registration no. : ... ... ... ... ... ... ... ... ... ... ... .. ... .. ... ... ... .
6.
Income tax reference no. : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
7.
Income tax branch office : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
8.
Date of approval / certificate of registration from the Malaysian Design Council:
…………………………..……… (Attach a copy of the letter/certificate)
9.
Particulars of Directors
Name and residential address
10.
Nationality
% shares held
Incentives approved by other government agencies (if any):
……………………………………………………………………………………………
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B.
PARTICULARS OF DESIGN PROJECTS/ACTIVITIES
1. Please specify the produce/products for each project/activity to be carried out.
Produce/products
Title
Objective
Research
duration
Methodology
Schedule
2. Design to be carried out:
Design to be carried out
Equipment/tools used
2
Method and
technique
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C.
(1)
PROJECT COST
Existing
RM
Additional
RM
Land (specify size)*
……………………………….
………………
………………
Buildings*
(specify built-up area)
………………………………….
………………
………………
………………
………………
………………
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Fixed assets
(a)
(b)
(c)
(d)
Machinery and equipment*
Other equipment
Total Fixed assets
(2)
(3)
Pre-operational expenditure
Working capital
Total
Note: * If the land, building, machinery and equipment are rented/leased,
Indicate the annual cost of rental/lease.
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D.
FINANCING
Existing
RM
Additional
RM
%
1.
Authorised capital
2.
Shareholders’ fund
…………
Total
RM
%
…..……
%
………..
(i) Paid-up capital
(a) Malaysian
individuals
Bumiputera
…………
…
…………
……
…………
……
Non Bumiputera
…………
…
…………
……
…………
……
(b) Companies incorporated in Malaysia*
……………………
…………
…
…………
……
…………
……
……………………
…………
…
…………
……
…………
……
(c) Foreign individual/company
(specify name and country)
……………………
…………
…
…………
……
…………
……
……………………
…………
…
…………
……
…………
……
…………
…
…………
……
…………
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Total (a), (b) and
(c)
* For 2 (b) provide equity structure as follows:-
Name
Bumiputera
(%)
Non Bumiputera
(%)
Foreign
(%)
………………………………………
............
............
...........
………………………………………
............
............
...........
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Existing
RM
Additional
RM
Total
RM
……………
……………
……………
……………
……………
……………
Domestic
……………
……………
……………
Foreign
……………
……………
……………
……………
……………
……………
……………
……………
……………
……………
………….
……………
……………
……………
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(ii) Reserved (excluding capital
appreciation)
Total (i) and (ii)
3.
Loan
Total
4.
Other sources
…………………………………………
…………………………………………
Total
Total 2, 3 and 4
Note : Attach a copy of the latest audited accounts.
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E.
EMPLOYMENT
1. Please fill in where relevant
Please note that the information is required to enable the government to undertake the appropriate manpower planning to meet the specific
manpower needs of companies proposing to establish projects in Malaysia.
Full-time employment
Existing
Employment
category
Malaysian
Total
Foreign
Malaysian
Malaysian
Degree
1.
Managerial staff
2.
Designers
3.
Clerical and other
workers
Diploma/
Certificate
Others
Degree
Diploma/
Certificate
Others
Note:
If there is more than one location, please provide the same information on a separate sheet of paper
6
Total
Foreign
Foreign
Malaysian
Degree
Total
*
Additional
Diploma/
Certificate
Others
Degree
Diploma/
Certificate
Others
Foreign
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2.
Details on key Designers
Designation
3.
4.
5.
Responsibility
Percentage of science and technical staff having degrees
or diplomas with a minimum of 5 years experience (of the
total workforce)
Number of Staff with Post Graduate (ie. Masters/PhD etc)
qualifications
In addition to the full-time employees as mentioned in the
above tables, please provide the number of workers which
are outsourced (not under the company’s payroll)
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Existing
Additional
:
______ %
______ %
:
______
______
:
______
______
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F.
EMPLOYMENT BY INCOME
Number of Persons Employed by Average Monthly Salary* (RM)
Existing
Employment
category
<3,000
Malaysian
1.
Managerial staff
2.
Designers
3.
Clerical and other
workers
Foreign
National
3,000-<5,000
Malaysian
Foreign
National
Additional
5,000-<10,000
Malaysian
Foreign
National
10,000 and
above
Malaysian
Foreign
National
Total
Note:
*
include wages, salaries, bonuses, social insurance contribution and all employee benefits.
If there is more than one factory location, please provide the same information on a separate sheet of paper.
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<3,000
Malaysian
Foreign
National
3,000-<5,000
Malaysian
Foreign
National
5,000-<10,000
Malaysian
Foreign
National
10,000 and
above
Malaysian
Foreign
National
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G.
ESTIMATED LABOUR COST AND EARNINGS
1. ESTIMATED LABOUR COST - Salaries and Wages*
Year 1
Year 2
Year 3
Year in Operation
Existing
Additional
Existing
Additional
Existing
Additional
Salaries and Wages (RM)
Note:
*Include wages, salaries, bonuses, social insurance contribution and all employee benefits
2. ESTIMATED EARNINGS
Year 1
Year 2
Year 3
Year in Operation
Existing
Additional
(a) Estimated Earnings before Interest,
Tax, Depreciation & Amortization
(EBITDA) (RM)
(b) Estimated Net Income After Tax
(RM)
-
Held in Malaysia as reserves (%)
-
Remitted out of Malaysia (%)
-
Reinvested in Malaysia (%)
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Existing
Additional
Existing
Additional
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H.
MAJOR MACHINERY AND EQUIPMENT
Machinery and equipment
I.
(a)
Existing
(b)
Additional
Cost
RM
INCOME
1.
Please provide actual/estimated income derived/to be derived from design activities
and other activities during the first 3 years of operation.
Year
Income derived from
design activities
(RM)
%
Other sources of
income*
(RM)
* Please specify the activities:
10
%
Total income
(RM)
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J.
DECLARATION
I,
, the
(name)
(designation)
of
(name of company/society)
(i)
hereby declare that to the best of my knowledge, the particulars furnished in this
application are true.
(ii)
*
have engaged/is planning to engage the services of the following consultant for
my application :
Company Name
:
Address
:
Contact Person
:
Designation
:
Telephone no.
:
Fax no.
:
E-mail
:
I take full responsibility for all information submitted by the consultant(s).
Date
(Signature)
(Company’s stamp)
*Please complete this section if the company has engaged/is planning to engage the services of
consultant(s) to act on behalf of the company. Please provide information on a separate sheet of paper if
space is insufficient
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